Medline

MEDLINE
  • 文章类型: Case Reports
    库提供对数据库的访问,这些数据库具有嵌入到服务中的自动引用功能;但是,在人文和社会科学数据库中,这些自动引用按钮的准确性不是很高。
    这个案例比较了两个生物医学数据库,OvidMEDLINE和PubMed,看看两者是否足够可靠,可以自信地推荐给学生在写论文时使用。总共评估了60篇引文,每个引文生成器引用30次,基于2010年至2020年PubMed排名前30位的文章。
    OvidMEDLINE的错误率高于PubMed,但两个数据库平台均未提供无错误引用。自动引用工具不可靠。所检查的60篇引文中有0篇是100%正确的。图书馆员应继续建议学生不要仅依赖这些生物医学数据库中的引文生成器。
    UNASSIGNED: Libraries provide access to databases with auto-cite features embedded into the services; however, the accuracy of these auto-cite buttons is not very high in humanities and social sciences databases.
    UNASSIGNED: This case compares two biomedical databases, Ovid MEDLINE and PubMed, to see if either is reliable enough to confidently recommend to students for use when writing papers. A total of 60 citations were assessed, 30 citations from each citation generator, based on the top 30 articles in PubMed from 2010 to 2020.
    UNASSIGNED: Error rates were higher in Ovid MEDLINE than PubMed but neither database platform provided error-free references. The auto-cite tools were not reliable. Zero of the 60 citations examined were 100% correct. Librarians should continue to advise students not to rely solely upon citation generators in these biomedical databases.
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  • 文章类型: Journal Article
    目的:作者姓名不完整,仅引用第一个可用的首字母而不是完整的名字,是MEDLINE中一个长期存在的问题,对生物医学文献系统产生负面影响。这项研究的目的是为MEDLINE创建增强作者姓名(EAN)数据集,以最大程度地增加完整作者姓名的数量。
    方法:EAN数据集是基于从多个文献数据库(如MEDLINE)收集的作者姓名进行大规模名称比较和恢复而构建的。Microsoft学术图,和语义学者。我们通过对EAN和MEDLINE的两个重要任务的作者姓名数据集(MAN)进行比较和统计分析来评估EAN对生物医学文献系统的影响。作者姓名搜索和作者姓名歧义消除。
    结果:评估结果表明,EAN将MEDLINE中的作者全名数量从6973万提高到了11090万。EAN不仅在2002年NLM更改其作者姓名索引策略之前恢复了大量的缩写名称,而且还提高了之后发表的文章中作者姓名的可用性。对作者姓名搜索和作者姓名歧义消除任务的评估表明,与MAN相比,EAN能够显着增强这两个任务。
    结论:EAN对全名的广泛覆盖表明,名称不完整的问题可以在很大程度上得到缓解。这对于开发改进的生物医学文献系统具有重要意义。EAN可在https://zenodo.org/record/10251358获得,更新版本可在https://zenodo.org/records/10663234获得。
    OBJECTIVE: Author name incompleteness, referring to only first initial available instead of full first name, is a long-standing problem in MEDLINE and has a negative impact on biomedical literature systems. The purpose of this study is to create an Enhanced Author Names (EAN) dataset for MEDLINE that maximizes the number of complete author names.
    METHODS: The EAN dataset is built based on a large-scale name comparison and restoration with author names collected from multiple literature databases such as MEDLINE, Microsoft Academic Graph, and Semantic Scholar. We assess the impact of EAN on biomedical literature systems by conducting comparative and statistical analyses between EAN and MEDLINE\'s author names dataset (MAN) on 2 important tasks, author name search and author name disambiguation.
    RESULTS: Evaluation results show that EAN improves the number of full author names in MEDLINE from 69.73 million to 110.9 million. EAN not only restores a substantial number of abbreviated names prior to the year 2002 when the NLM changed its author name indexing policy but also improves the availability of full author names in articles published afterward. The evaluation of the author name search and author name disambiguation tasks reveal that EAN is able to significantly enhance both tasks compared to MAN.
    CONCLUSIONS: The extensive coverage of full names in EAN suggests that the name incompleteness issue can be largely mitigated. This has significant implications for the development of an improved biomedical literature system. EAN is available at https://zenodo.org/record/10251358, and an updated version is available at https://zenodo.org/records/10663234.
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  • 文章类型: Journal Article
    手术部位感染(SSIs)构成了重大的临床挑战,对于接受外科手术的糖尿病患者来说,风险增加,后果严重。本系统综述旨在综合当前有关有效预防策略的证据,以减轻该弱势群体的SSI风险。从成立到2024年3月,我们全面搜索了多个电子数据库(PubMed,Medline,Embase,科克伦图书馆,CINAHL)以确定评估糖尿病手术患者SSI预防策略的相关研究。我们的搜索策略遵循系统评价和荟萃分析(PRISMA)指南的首选报告项目。利用与糖尿病相关的关键词和医学主题词(MeSH)术语的组合,手术部位感染,预防策略,和外科手术。纳入标准侧重于同行评审的临床试验,随机对照试验,以及以英文发表的荟萃分析。搜索产生了三项符合资格标准的研究,进行数据提取和定性综合。关键发现强调了干预措施的有效性,例如优化围手术期血糖控制,及时预防性使用抗生素,术前细致的皮肤防腐可降低糖尿病手术患者的SSI率。基于个体患者因素的个性化预防方法的潜力,比如糖尿病类型和手术复杂性,被探索了。这一系统的审查强调了多方面的重要性,基于证据的方法预防糖尿病手术患者的SSI,整合策略,如血糖控制,抗生素预防,术前皮肤防腐.此外,我们的研究结果表明,针对患者个体特征量身定制的个性化护理路径的潜在益处.实施这些干预措施需要跨学科合作,适应不同的医疗保健环境,通过文化敏感的教育举措和患者参与。这一综合分析为临床实践提供了信息,促进患者安全,并有助于全球努力提高这一高危人群的手术效果。
    Surgical site infections (SSIs) pose a significant clinical challenge, with heightened risks and severe consequences for diabetic patients undergoing surgical procedures. This systematic review aims to synthesize the current evidence on effective prevention strategies for mitigating SSI risk in this vulnerable population. From inception to March 2024, we comprehensively searched multiple electronic databases (PubMed, Medline, Embase, Cochrane Library, CINAHL) to identify relevant studies evaluating SSI prevention strategies in diabetic surgical patients. Our search strategy followed Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, utilizing a combination of keywords and Medical Subject Headings (MeSH) terms related to diabetes, surgical site infections, prevention strategies, and surgical procedures. Inclusion criteria focused on peer-reviewed clinical trials, randomized controlled trials, and meta-analyses published in English. The search yielded three studies meeting the eligibility criteria, subject to data extraction and qualitative synthesis. Key findings highlighted the efficacy of interventions such as optimized perioperative glycemic control, timely prophylactic antibiotic administration, and meticulous preoperative skin antisepsis in reducing SSI rates among diabetic surgical patients. The potential for personalized prevention approaches based on individual patient factors, such as diabetes type and surgical complexity, was explored. This systematic review underscores the importance of a multifaceted, evidence-based approach to SSI prevention in diabetic surgical patients, integrating strategies like glycemic control, antibiotic prophylaxis, and preoperative skin antisepsis. Furthermore, our findings suggest the potential benefits of personalized care pathways tailored to individual patient characteristics. Implementing these interventions requires interdisciplinary collaboration, adaptation to diverse healthcare settings, and patient engagement through culturally sensitive education initiatives. This comprehensive analysis informs clinical practice, fosters patient safety, and contributes to the global efforts to enhance surgical outcomes for this high-risk population.
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  • 文章类型: Journal Article
    背景:基于传统文献的发现是基于通过公共中点将从单独出版物中提取的知识对连接起来,以得出以前看不见的知识对。为了避免经常与这种方法相关的过度生成,我们探索了一种基于单词进化的替代方法。单词进化检查单词的变化上下文,以识别其含义或关联的变化。我们研究了使用变化的单词上下文来检测适合重新利用的药物的可能性。
    结果:词嵌入,代表单词的上下文,是由MEDLINE中按时间顺序排列的出版物以每两个月为间隔构建的,为每个单词生成一个单词嵌入的时间序列。只专注于临床药物,在时间序列的最后时间段中再利用的任何药物都被注释为积极的例子。关于药物再利用的决定是基于统一医疗语言系统(UMLS),或使用MEDLINE中的SemRep提取的语义三元组。
    结论:注释数据允许深度学习分类,通过5倍交叉验证,要执行和多种架构要探索。使用UMLS标签的性能为65%,81%使用SemRep标签,表明该技术适用于检测用于再利用的候选药物。调查还表明,不同的体系结构与可用的训练数据量相关联,因此每种注释方法都应训练不同的模型。
    BACKGROUND: Traditional literature based discovery is based on connecting knowledge pairs extracted from separate publications via a common mid point to derive previously unseen knowledge pairs. To avoid the over generation often associated with this approach, we explore an alternative method based on word evolution. Word evolution examines the changing contexts of a word to identify changes in its meaning or associations. We investigate the possibility of using changing word contexts to detect drugs suitable for repurposing.
    RESULTS: Word embeddings, which represent a word\'s context, are constructed from chronologically ordered publications in MEDLINE at bi-monthly intervals, yielding a time series of word embeddings for each word. Focusing on clinical drugs only, any drugs repurposed in the final time segment of the time series are annotated as positive examples. The decision regarding the drug\'s repurposing is based either on the Unified Medical Language System (UMLS), or semantic triples extracted using SemRep from MEDLINE.
    CONCLUSIONS: The annotated data allows deep learning classification, with a 5-fold cross validation, to be performed and multiple architectures to be explored. Performance of 65% using UMLS labels, and 81% using SemRep labels is attained, indicating the technique\'s suitability for the detection of candidate drugs for repurposing. The investigation also shows that different architectures are linked to the quantities of training data available and therefore that different models should be trained for every annotation approach.
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  • 文章类型: Journal Article
    背景:低收入或中等收入国家(LMIC)人道主义环境中的姑息治疗是一个新领域,近年来经历了一定程度的增长势头。审查有助于这种不断增长的知识体系,除了确定未来研究的差距。总体目标是系统地探索LMIC人道主义环境中患者和/或其家人姑息治疗需求的证据。
    方法:Arksey和O'Malley's(IntJSocResMethodol。8:19-32,2005)范围审查框架构成了研究设计的基础,遵循Levac等人的进一步指导。(实施科学5:1-9,2010),乔安娜·布里格斯研究所(JBI)彼得斯等人。(JBI审阅者手册JBI:406-452,2020年),以及Tricco等人的系统评价和Meta分析扩展的首选报告项目(PRISMA-ScR)。(安实习生医学169:467-73,2018)。这包括了一个五步的方法和人口,概念,和上下文(PCC)框架。使用已经确定的关键词/术语,从2012年1月到2022年10月,将使用数据库搜索已发表的研究和灰色文献(可能包括护理和联合健康累积指数(CINAHL),MEDLINE,Embase,全球卫生,Scopus,应用社会科学索引和摘要(ASSIA),WebofScience,政策共用,JSTOR,国际货币基金组织和世界银行图书馆网,Google高级搜索,和GoogleScholar)以及选定的预打印站点和网站。数据选择将根据纳入和排除标准进行,每个阶段将由两名审查人员进行审查。用三分之一来解决任何分歧。提取的数据将在表中绘制。此审查不需要道德批准。
    结论:调查结果将以表格和图表/图表的形式呈现,然后是叙述性描述。审查将于2022年10月下旬至2023年初进行。这是第一个系统范围审查,专门探讨患者和/或其家人的姑息治疗需求,在LMIC人道主义环境中。审查结果的论文将于2023年提交出版。
    BACKGROUND: Palliative care in low- or middle-income country (LMIC) humanitarian settings is a new area, experiencing a degree of increased momentum over recent years. The review contributes to this growing body of knowledge, in addition to identifying gaps for future research. The overall aim is to systematically explore the evidence on palliative care needs of patients and/or their families in LMIC humanitarian settings.
    METHODS: Arksey and O\'Malley\'s (Int J Soc Res Methodol. 8:19-32, 2005) scoping review framework forms the basis of the study design, following further guidance from Levac et al. (Implement Sci 5:1-9, 2010), the Joanna Briggs Institute (JBI) Peters et al. (JBI Reviewer\'s Manual JBI: 406-452, 2020), and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) from Tricco et al. (Ann Intern Med 169:467-73, 2018). This incorporates a five-step approach and the population, concept, and context (PCC) framework. Using already identified key words/terms, searches for both published research and gray literature from January 2012 to October 2022 will be undertaken using databases (likely to include Cumulative Index of Nursing and Allied Health (CINAHL), MEDLINE, Embase, Global Health, Scopus, Applied Social Science Index and Abstracts (ASSIA), Web of Science, Policy Commons, JSTOR, Library Network International Monetary Fund and World Bank, Google Advanced Search, and Google Scholar) in addition to selected pre-print sites and websites. Data selection will be undertaken based on the inclusion and exclusion criteria and will be reviewed at each stage by two reviewers, with a third to resolve any differences. Extracted data will be charted in a table. Ethical approval is not required for this review.
    CONCLUSIONS: Findings will be presented in tables and diagrams/charts, followed by a narrative description. The review will run from late October 2022 to early 2023. This is the first systematic scoping review specifically exploring the palliative care needs of patients and/or their family, in LMIC humanitarian settings. The paper from the review findings will be submitted for publication in 2023.
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  • 文章类型: Journal Article
    背景:深部脑刺激(DBS)可用于治疗多种神经和精神疾病,例如帕金森氏病,癫痫和强迫症;然而,为评估DBS访问和实施方面的差异,已经做了有限的工作。本范围审查的目的是确定DBS临床提供差异的来源。
    方法:将根据系统审查的首选报告项目和范围审查方法的荟萃分析扩展进行范围审查。相关研究将从包括MEDLINE/PubMed在内的数据库中确定,EMBASE和WebofScience,以及保留文章的参考列表。最初的搜索日期是2023年1月,研究仍在进行中。将完成对可能符合条件的研究的标题和摘要的初步筛选,收集相关研究以供全文回顾。然后,主要研究者和共同作者将独立审查所有符合纳入标准的全文文章。将以表格格式提取和收集数据。最后,结果将在表格和叙述报告中进行综合。
    背景:对于拟议的范围界定审查,不需要机构委员会审查或批准。研究结果将提交给相关的同行评审期刊和会议发表。
    该协议已在开放科学框架(https://osf.io/cxvhu)上进行了前瞻性注册。
    BACKGROUND: Deep brain stimulation (DBS) can be used to treat several neurological and psychiatric conditions such as Parkinson\'s disease, epilepsy and obsessive-compulsive disorder; however, limited work has been done to assess the disparities in DBS access and implementation. The goal of this scoping review is to identify sources of disparity in the clinical provision of DBS.
    METHODS: A scoping review will be conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-extension for Scoping Reviews methodology. Relevant studies will be identified from databases including MEDLINE/PubMed, EMBASE and Web of Science, as well as reference lists from retained articles. Initial search dates were in January 2023, with the study still ongoing. An initial screening of the titles and abstracts of potentially eligible studies will be completed, with relevant studies collected for full-text review. The principal investigators and coauthors will then independently review all full-text articles meeting the inclusion criteria. Data will be extracted and collected in table format. Finally, results will be synthesised in a table and narrative report.
    BACKGROUND: No institutional board review or approval is necessary for the proposed scoping review. The findings will be submitted for publication to relevant peer-reviewed journals and conferences.
    UNASSIGNED: This protocol has been registered prospectively on the Open Science Framework (https://osf.io/cxvhu).
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  • 文章类型: Review
    文献检索通常被研究人员用于进行系统评价以及医疗保健提供者,有时病人,快速指导他们的临床决策。通常建议使用多个数据库,但对于某些字段可能并不总是必需的。本研究旨在确定在对高压氧治疗(HBOT)随机对照试验(RCT)进行文献检索时,搜索MEDLINE以外的其他数据库的附加值。
    这项研究包括两个阶段:对HBOT领域所有RCT的范围审查,然后是敏感性的统计分析,精度,个别生物医学数据库包含的“需要读取的数字”(NNR)和“数字唯一”。MEDLINE,Embase,Cochrane中央控制试验登记册(中央),截至2022年12月31日,在没有日期或语言限制的情况下搜索了护理和相关健康文献累积索引(CINAHL)。筛选和数据提取由成对的独立审阅者一式两份进行。如果RCT涉及人类受试者并且HBOT单独提供或与其他治疗组合提供,则包括RCT。
    在确定的5,840种不同的引文中,纳入367项进行分析。CENTRAL是最敏感的(87.2%),有最独特的参考(7.1%)。MEDLINE具有最高的精度(23.8%)和最佳的NNR(四个)。在包括的参考文献中,14.2%是单一数据库独有的。
    HBOT中RCT的系统评价应始终使用多个数据库,至少包括MEDLINE,Embase,CENTRAL和CINAHL.
    UNASSIGNED: Literature searches are routinely used by researchers for conducting systematic reviews as well as by healthcare providers, and sometimes patients, to quickly guide their clinical decisions. Using more than one database is generally recommended but may not always be necessary for some fields. This study aimed to determine the added value of searching additional databases beyond MEDLINE when conducting a literature search of hyperbaric oxygen treatment (HBOT) randomised controlled trials (RCTs).
    UNASSIGNED: This study consisted of two phases: a scoping review of all RCTs in the field of HBOT, followed by a a statistical analysis of sensitivity, precision, \'number needed to read\' (NNR) and \'number unique\' included by individual biomedical databases. MEDLINE, Embase, Cochrane Central Register of Control Trials (CENTRAL), and Cumulated Index to Nursing and Allied Health Literature (CINAHL) were searched without date or language restrictions up to December 31, 2022. Screening and data extraction were conducted in duplicate by pairs of independent reviewers. RCTs were included if they involved human subjects and HBOT was offered either on its own or in combination with other treatments.
    UNASSIGNED: Out of 5,840 different citations identified, 367 were included for analysis. CENTRAL was the most sensitive (87.2%) and had the most unique references (7.1%). MEDLINE had the highest precision (23.8%) and optimal NNR (four). Among included references, 14.2% were unique to a single database.
    UNASSIGNED: Systematic reviews of RCTs in HBOT should always utilise multiple databases, which at minimum include MEDLINE, Embase, CENTRAL and CINAHL.
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  • 文章类型: Journal Article
    关于长期COVID对工作能力的影响的研究正在增加,但很难在书目数据库中找到,由于用于描述这一新条件及其后果的术语的异质性。本研究旨在报告不同搜索策略的有效性,以寻找关于长COVID对PubMed工作参与的影响的研究,并创建经过验证的搜索字符串。
    我们搜索了PubMed在LongCOVID上发表的文章,包括有关工作的信息。确定了相关文章,并筛选了其参考文献清单。对职业健康期刊进行了手动扫描,以识别可能遗漏的文章。总共收集了885篇潜在相关文章,最终将120篇纳入黄金标准数据库。回想一下,Precision,评估了各种关键词或关键词组合的需要阅读的数量(NNR)。
    总的来说,单独或组合测试了123个搜索词。单个MeSH术语或文本单词的最高召回率为23%和90%,分别。开发了两个不同的搜索字符串,一次优化召回,同时保持精度可接受(召回98.3%,精度15.9%,NNR6.3)和一个优化精度,同时保持召回可接受(召回90.8%,精度26.1%,NNR3.8)。
    没有一个MeSH术语允许在PubMed中找到关于长COVID对工作能力影响的所有相关研究。需要结合使用各种MeSH和非MeSH术语来恢复此类研究,而不会被无关的文章淹没。
    UNASSIGNED: Studies on the impact of long COVID on work capacity are increasing but are difficult to locate in bibliographic databases, due to the heterogeneity of the terms used to describe this new condition and its consequences. This study aims to report on the effectiveness of different search strategies to find studies on the impact of long COVID on work participation in PubMed and to create validated search strings.
    UNASSIGNED: We searched PubMed for articles published on Long COVID and including information about work. Relevant articles were identified and their reference lists were screened. Occupational health journals were manually scanned to identify articles that could have been missed. A total of 885 articles potentially relevant were collected and 120 were finally included in a gold standard database. Recall, Precision, and Number Needed to Read (NNR) of various keywords or combinations of keywords were assessed.
    UNASSIGNED: Overall, 123 search-words alone or in combination were tested. The highest Recalls with a single MeSH term or textword were 23 and 90%, respectively. Two different search strings were developed, one optimizing Recall while keeping Precision acceptable (Recall 98.3%, Precision 15.9%, NNR 6.3) and one optimizing Precision while keeping Recall acceptable (Recall 90.8%, Precision 26.1%, NNR 3.8).
    UNASSIGNED: No single MeSH term allows to find all relevant studies on the impact of long COVID on work ability in PubMed. The use of various MeSH and non-MeSH terms in combination is required to recover such studies without being overwhelmed by irrelevant articles.
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  • 文章类型: Review
    目标:像OpenAI的ChatGPT这样的大型语言模型(LLM)是强大的生成系统,可以快速合成自然语言响应。对LLM的研究揭示了它们的潜力和陷阱,尤其是在临床环境中。然而,医学LLM研究的不断发展的景观在他们的评估方面留下了几个空白,应用程序,和证据基础。
    目的:本范围综述旨在(1)总结当前有关LLM在医学应用中的准确性和有效性的研究证据,(2)商量伦理,legal,后勤,以及LLM在临床环境中使用的社会经济意义,(3)探索医疗保健中LLM实施的障碍和促进者,(4)提出一个评估LLM临床效用的标准化评估框架,(5)确定证据空白,并提出未来LLM在临床应用中的研究方向。
    方法:我们从MEDLINE筛选了4,036条记录,EMBASE,CINAHL,medRxiv,bioRxiv,和arXiv从2023年1月(搜索开始)到2023年6月26日的英文论文,并分析了55项全球研究的结果。根据牛津循证医学中心的建议报告证据质量。
    结果:我们的结果表明,LLM在编制患者笔记方面显示出希望,协助患者在医疗保健系统中导航,在某种程度上,当与人类监督相结合时,支持临床决策。然而,它们的利用受到可能伤害患者的训练数据偏见的限制,产生不准确但令人信服的信息,和道德,legal,社会经济,和隐私问题。我们还发现缺乏评估LLM有效性和可行性的标准化方法。
    结论:因此,这篇综述强调了解决这些局限性的潜在未来方向和问题,并进一步探索LLM在增强医疗保健服务方面的潜力。
    结论:问题大型语言模型(LLM)在临床环境中的应用现状如何?以及与它们的整合相关的主要挑战和机遇是什么?分析55项研究,表示当LLM,包括OpenAI的ChatGPT,在编制病人笔记方面显示出潜力,协助医疗保健导航,并支持临床决策,它们的使用受到数据偏见的限制,产生看似合理但不正确的信息,以及各种道德和隐私问题。研究的严谨性有很大差异,尤其是在评估LLM响应时,呼吁标准化的评估方法,包括既定的指标,如ROUGE,METEOR,G-Eval,和MultiMedQA。意义研究结果表明,在LLM研究中需要增强的方法,强调整合真实患者数据和考虑健康的社会决定因素的重要性,提高LLM在临床环境中的适用性和安全性。
    OBJECTIVE: Large language models (LLMs) like OpenAI\'s ChatGPT are powerful generative systems that rapidly synthesize natural language responses. Research on LLMs has revealed their potential and pitfalls, especially in clinical settings. However, the evolving landscape of LLM research in medicine has left several gaps regarding their evaluation, application, and evidence base.
    OBJECTIVE: This scoping review aims to (1) summarize current research evidence on the accuracy and efficacy of LLMs in medical applications, (2) discuss the ethical, legal, logistical, and socioeconomic implications of LLM use in clinical settings, (3) explore barriers and facilitators to LLM implementation in healthcare, (4) propose a standardized evaluation framework for assessing LLMs\' clinical utility, and (5) identify evidence gaps and propose future research directions for LLMs in clinical applications.
    METHODS: We screened 4,036 records from MEDLINE, EMBASE, CINAHL, medRxiv, bioRxiv, and arXiv from January 2023 (inception of the search) to June 26, 2023 for English-language papers and analyzed findings from 55 worldwide studies. Quality of evidence was reported based on the Oxford Centre for Evidence-based Medicine recommendations.
    RESULTS: Our results demonstrate that LLMs show promise in compiling patient notes, assisting patients in navigating the healthcare system, and to some extent, supporting clinical decision-making when combined with human oversight. However, their utilization is limited by biases in training data that may harm patients, the generation of inaccurate but convincing information, and ethical, legal, socioeconomic, and privacy concerns. We also identified a lack of standardized methods for evaluating LLMs\' effectiveness and feasibility.
    CONCLUSIONS: This review thus highlights potential future directions and questions to address these limitations and to further explore LLMs\' potential in enhancing healthcare delivery.
    CONCLUSIONS: Question What is the current state of Large Language Models’ (LLMs) application in clinical settings, and what are the primary challenges and opportunities associated with their integration? Findings This scoping review, analyzing 55 studies, indicates that while LLMs, including OpenAI’s ChatGPT, show potential in compiling patient notes, aiding in healthcare navigation, and supporting clinical decision-making, their use is constrained by data biases, the generation of plausible but incorrect information, and various ethical and privacy concerns. A significant variability in the rigor of studies, especially in evaluating LLM responses, calls for standardized evaluation methods, including established metrics like ROUGE, METEOR, G-Eval, and MultiMedQA. Meaning The findings suggest a need for enhanced methodologies in LLM research, stressing the importance of integrating real patient data and considering social determinants of health, to improve the applicability and safety of LLMs in clinical environments.
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  • 文章类型: Journal Article
    背景:基于社区的参与式研究(CBPR)是一种合作研究方法,可在研究过程的所有步骤中平等地吸引研究人员和社区利益相关者,以促进社会变革并增加研究相关性。社区咨询委员会(CAB)是一个CBPR工具,其中具有生活经验和社区组织的个人被纳入研究过程,并确保工作与社区优先事项保持一致。我们寻求(1)探索招聘和参与具有CAB生活经验的人的最佳实践,以及(2)确定有关最小化组织和社区成员之间的动力动力动力的文献范围,这些成员具有在CAB上一起工作的生活经验。
    方法:此范围审查将遵循Arksey和O\'Malley方法框架,由Levac等人通知,并将使用PRISMA(系统审查和荟萃分析的首选报告项目)图进行报告。已经为Embase开发了详细和强大的搜索策略,Medline和PsychINFO。将考虑在1990年1月1日至2023年3月30日之间发表的灰色文献参考文献和参考文献列表。两名审稿人将在标题/摘要和全文筛选的两个连续阶段中独立筛选参考文献。冲突将由协商一致或第三审稿人决定。主题分析将分三个阶段应用:开放编码、轴向编码和抽象。提取的数据将以表格格式和/或图形摘要记录和显示,描述性概述,讨论研究结果与研究问题的关系。此时,已经对同行评审和灰色文献进行了初步搜索。同行评审文献的搜索结果已被上传到Covidence进行回顾和相关性评估。
    背景:本次审查不需要正式的伦理批准。审查结果将为正在进行和未来的CBPR社区咨询委员会动态提供信息。
    背景:该协议已在开放科学框架(https://doi.org/10.17605/OSF)上进行了前瞻性注册。IO/QF5D3)。
    BACKGROUND: Community-based participatory research (CBPR) is a collaborative research approach that equally engages researchers and community stakeholders throughout all steps of the research process to facilitate social change and increase research relevance. Community advisory boards (CABs) are a CBPR tool in which individuals with lived experience and community organisations are integrated into the research process and ensure the work aligns with community priorities. We seek to (1) explore the best practices for the recruitment and engagement of people with lived experiences on CABs and (2) identify the scope of literature on minimising power dynamics between organisations and community members with lived experience who work on CABs together.
    METHODS: This scoping review will follow the Arksey and O\'Malley methodological framework, informed by Levac et al, and will be reported using a PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) diagram. Detailed and robust search strategies have been developed for Embase, Medline and PsychINFO. Grey literature references and reference lists of included articles published between 1 January 1990 and 30 March 2023 will be considered. Two reviewers will independently screen references in two successive stages of title/abstract and full-text screening. Conflicts will be decided by consensus or a third reviewer. Thematic analysis will be applied in three phases: open coding, axial coding and abstraction. Extracted data will be recorded and presented in a tabular format and/or graphical summaries, with a descriptive overview discussing how the research findings relate to the research questions. At this time, a preliminary search of peer-reviewed and grey literature has been conducted. Search results for peer-reviewed literature have been uploaded to Covidence for review and appraisal for relevance.
    BACKGROUND: Formal ethics approval is not required for this review. Review findings will inform ongoing and future CBPR community advisory board dynamics.
    BACKGROUND: The protocol has been registered prospectively on the Open Science Framework (https://doi.org/10.17605/OSF.IO/QF5D3).
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